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tv   [untitled]    August 24, 2013 11:00am-11:31am PDT

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district attorney knows but nothing happens. it doesn't happen year on end. we look at this problem it's not unique to san francisco it's across the country. i supplied you with a letter from a woman from the new york times. the san francisco police department is short 20 detectives but you need an tuff cold case file website that goes along with technology today to solve those problems. you need medicaid data and the fbi intelligence practitioner for homeland security use to catch those people.
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they're out there but no one's looking for them. when you turn up a murderer here you only found out one thing it was inadversely come about. and last but not least we have one supervisor here eric mar that tried to put together a program tattoo ban society at large for the killing for a police officer who said it was okay. because it happened so long ago. it happens as long as ago we 140u7bd u shouldn't be bordered with this stuff. but that's the problem it's more important than the stuff you're doing tonight. or get a program going to solve
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the unsolved murderers i believe there are owning over one thousand >> all right. for members of the public in those on sfgovtv watching this now. i feel compelled to point out the san francisco police department has not given up. if you are not here at the beginning of the chief reports there's an officer the head of homicide who came and gave a detailed report on the efforts still be conducted by the sf police department to find those murderers. it's a matter of evidence. and they're out there trying to find the evidence. it is not enough just to know names. it is about evidence that can be
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brought in a court to say this is the issue. i understand that this doesn't alleviate ms. browns pain but at the same time making it seem as if we've given up and we don't care is incorrect as well. we care very deepening and we'll continue the efforts >> if i can add mr. mayor, i i know you've got to have a community in though shall not snitch. that's what it's about period. we had wyoming a one-year-old boy killed in oakland and their protected by the community. that's the only reason those guys run around because there's
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a code of not telling. i tell in a minute and until those people stand up you people know out there and give it up and a next line item and a line item four - >> i'm sorry public comment still continuing. >> while we're excited about the youth commission in ensweat shirt i want to acknowledge that training is on police training but we want expensive training between young people and police officers. we believe this training will change everybody when it comes to encounters with police
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officers and also minors under the ankle of 18. i look forward to working with you guys much more. thank you >> thank you and i have a quote by a member from the neighborhood center before public comment so i'll read it now. we've been working with the youth commission and the entity from this draft working closely with the programs including your program we've identified a lot of the - to education not a bare. earlier this month movements planned and use a workshop around heath rirpz with to police. where we introduced the review
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to the community. this being our fifth summit based on the police and public relationships we've educated a lot of what the parents feel to be healthy relationships between youth and police. we work closely with the youth commission on a general order and have been doing this for 5 years to make sure that the youth and public voices is where our community members are effected. during our most recent summit we had four officers in attendance that work on housing and poverty who assisted in this workshop. and the pamphlets and other general information and the ruling role of the school community.
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at burn heights center we're striving for public accountant ability for the community. where the language binds the s r o sz to the contact is important. school officers should be a rows. it shouldn't be a threat to any student and m l o should frame the model relationship that us the community want to see between the public and police >> thank you. >> thank you any further public comment? >> hi folks i'm a special education teacher at mission high school. i work with students who have emotional and behavioral disabilities. i want to express is memo between the police and students.
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i believe there is an a.m. - the role even if teachers as advocates for example, they're right for a teacher to be present if a parents can't to clarify the difference between issues that require police interference or school regulation. i think it's important to understand that many of my students have had trauma in their life. in conclusion i think it's important to clarify the role of police officers on compass with a memoranda of understanding. i want to thank the police commission and others to making sure this document gets written and approving it. if i might. i know we're not supposed to -
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all juveniles that are arrested with mri ransz. the students are not to talk about their information if you don't want to take to the police you evoke your rights >> i think that's important for the teachers and administration as well. >> any further public comment? seeing none, public comment is closed. next line item mr. secretary >> public comment on all matters postponing to items below and closed session in order to hold item 6 in closed
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session. >> any public comment on rather to hold item 6 in closed session? seeing no public comment that about public comment is closed. next line item. line item 5 is to hold line item 6 and evoke attorney-client privilege in administrative section action >> commissioners do i have a motion. >> all in favor? motion carries unanimously. ladies and gentlemen i want to thank you four attending but we're now going into closed session. we will return following our the business we're taking care of in closed session. but wemuch.
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>> we're back and we have a quorum. >> can you call line item 7 vote to elect any or all discussion held in closed session. action >> do i have a motion on whether or not to disclose the items held in closed session. >> second. moved and second all in favor. all opposed? it's unanimously we will not disclose. today have a motion for line item 8 adjournment >> second. second >> all in favor. all opposed?
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i >> just kidding. we're happy now that the meeting is over. >> give him the gavel you better watch him >> health service board is now in order. please stand for the pledge. i pledge allegiance to the flag of the united states of america, and to the republic for which it stands; one nation under god, indivisible, with liberty and justice for all.
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>> madam secretary, roll call, please. >> roll call. president breslin? >> here. >> vice president lim? >> present. >> supervisor farrell excused. commissioner fraser? >> here. >> commissioner fraser excused. commissioner scott sf >> here. >> commissioner shlain? >> here. >> we have a quorum. >> thank you. ~ item number 1, please. >> item 1, action item, approval (with possible modifications) of the minutes of the meeting set forth below. regular meeting of june 13th, 2013 combined with rates and benefits committee. >> are there any corrections? no corrections. >> i move adoption of the minutes as distributed. >> i second. >> any public comment on this item? having none, all those in favor? >> aye.
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>> opposed? it's unanimous. >> item number 2. >> item 2, discussion item, president's report, president breslin. >> we are now on sfgov-tv, channel 26 and 78, i believe. and we want to thank sean tai who prior to this has done the videos for the board meeting. and would you please come up to the podium? thank you. the health service board would like to thank sean tai the founder of zty media for his excellent service documenting health service board meeting since october 2010. we commend shane for his professional dedication and technical expertise. this creation of the hss youtube channel has provided
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meeting access to hss members, elected officials, news media, and others who could not attend in person. these recordings were also used to document requests and questions posed by the board and public comment. in addition to his work for hss, we would like to acknowledge sean's commitment to the oakland digital arts and literary center, a nonprofit that empowers students and small businesses in undeserved communities to succeed in the digital economy. we encourage sean tai and zty media to be among the vendors that bid on other digital video services proposals issued by health service system. the members of the health service board wish sean tai the best of luck in his future and professional endeavors. thank you. >> thank you very much. >> thank you. (applause)
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>> also, as you know -- probably know by now, the board of supervisors recently passed a resolution requesting that kaiser improve transparency on rates and rate setting. they also requested that our board and staff build upon their process of consulting with public employee unions and hss retirees. we do want transparency from all insurance providers. the resolution specifically requests kaiser to do so. the city charter gives the health service board exclusive negotiating rights and also states that we must supply benefits without special favor or privilege.
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the resolution [speaker not understood] retirees public employee unions. however, we are responsible to all members of the system. we are planning at our september meeting and then maybe october also to dedicate an agenda item for information and input from our members so that they can introduce and formulate objectives well in advance of the rates and benefits deadline. so, encourage everyone to attend and to spread the word. and lisa will be talking more about this in her director's report. thank you. and that's all i have on this report. is there any public comment? seeing no public comment, item number 3. >> item 3, discussion item, director's report, lisa ghotbi. >> good afternoon. lisa ghotbi, acting director of the health service system. july was a busy month for us.
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i think i have just a few things to review. we are interviewing for the cfo position and we expect to fill this position by september. that's really good news for us. once again, we want to thank our interim cfo gregg sass who has not only helped us with the interview process, but has helped us get ready for the audit that's upcoming and will help the new cfo who comes in with her -- his or her transition. we are also working on -- we just posted the wellness [speaker not understood] yesterday and we are working on posting other clients -- contracting compliance manager position within the next few days and we have a few other positions that we're in the process ofing. we have several new positions. it will be a busy fourth quarter hiring and bringing new folks up to speed. ~ posting in the operations department we've been quite busy with several activities, some of them in terms of focusing on 2014 open enrollment.
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the emerge, working with emerge consultants to rebuild the flux credit product for mea and executives and we are i think a good probably 70% of the way down the road for that. so, we should be fine for open enrollment. we also responded really within three hours of the supreme court ruling on doma to communicate on interpretation to our members. we were getting questions immediately on that, and there is some report on that end. the operation powerpoint presentation will review same sex domestic partners to ensure any married couples in the system will now have the same benefit for pretext coverage for all other family members. we reviewed member files to determine if any same sex partnerships had previously submitted the marriage certificates to hss and if so we changed the family status from domestic partner to married effective the next available coverage period. so the staff was very proactive
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and we immediately began receiving marriage certificates from those who had not already submitted them to hss. we will also be moving to the third floor. there is a move and we've delayed that until december 1st until after open enrollment so we're looking forward to that and to also have a wellness center opening on the first floor of 1145 market. and also wanted to point out that it was a very busy month for retirement in the health service system. we processed over 7 45 retirement applications between may and july 1st. so, significantly more than our average of about 40 a month. so, very busy for retirement and congratulations to all the city employees who retired. in the communications department, we've been very busy working on the benefit guides which will be going to print shortly. the theme for this year is partnership help and also we've
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completed a communication strategic plan which will be presented to the board at the next meeting and we'll be starting this rfp to help us fulfill that plan in the fourth quarter. our finance team has been working on building the rates and also preparing for the audit which will be starting next week. and in rates and negotiations we wanted to let you know that many of the unions have accepted the city offer for the flat contribution model and that model is going to be 93, 93 83 which means that the employer contribution for an e only is 93% for the e plus 1 is 93%, and for the family is 83%. that was done by the deadline of july 31st, 2013. please note the typo, not 2012. that was done as of july 2013. so, those numbers and those unions will receive a subsidy for 2014 and hss had a lot of
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meetings with unions and to help explain exactly what that would mean for them and there is an attached memo that we prepared for the unions laying out the numbers for them to see that's attached in your binder. under wellness, also very busy time for wellness. we've been doing biometric screenings and had a very successful one coordinated about a week and a half ago. 267 employees in the hall of justice participated in biometric screening. in addition, there was also a biometric screening at department of human resources, department of economic and work force development in may. that screened an additional 58. so, this is a very popular offering and we're looking to extend it and continue those in fourth quarter of this year and into next year. also, margaret has a very aggressive campaign for flu shot vaccinations. we have i think over 12 sites already set up for flu shots
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for the october and early november time frame. we have a new department in hss called the analytics and a new data analytics manager who has been on the job for about a little over a month, is very busy and working on -- she did most of the modeling on the contribution model work for the unions and has done some work on our wellness initiative as well. meetings have very busy month for meetings with both kaiser on multiple occasions with director dodd participating and also with the board of supervisors meeting with them individually on multiple occasions. also attached is some news articles that have occurred in july around the kaiser rate renewal and the links to the committee meetings from the board of supervisors. so, if there are any questions. that concludes my report.
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>> any public comment on this item? come forward. thank you, president breslin. [speaker not understood], former member of your board and now representing the seiu retirees. my concern actually is one with regard to actives. i think more than retire tire aloes, but the actives and early retirees, not so much the medicare retirees. ~ and that's the issue with the 93, 383. what i notice is that in that memo and the delineation of the rates that the plan 1 rates seem to be significant, especially by year 2015 where we go from $320 a month for employee only in 2014 to 925. if it was 9 to 10, but it goes from $4 in 2014 to 7.79 in 2015
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which is a massive rate increase. and what we've noticed over the years when i sat on the board was that there was significant migration from plan 1 as those rates were no longer subsidized. there was a time when this board subsidized those rates because it is, in fact, the plan that you own. and money in the trust fund was used because the trader gives the health service board money to go out and purchase plans. and if you get the money -- if you get the plan for less than the city's contribution in those days, that was money that you could spend for other plans. and we used to do it for plan 1. and my concern in seeing those rates is that i would like -- i would like this board to consider perhaps subsidizing at maybe 50% to be able to stabilize those rates across
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the board. there aren't all that many members that are active in early retirees in plan 1 remaining any more, and i think these rates will absolutely scuttle the plan. and it is your own self-insured and self-funded plan. it's what you own. it's what you need to keep competitive. and the last group of people are clearly going to migrate out. and all of the other sf including the vast subsidizing of the risk factor for blue shield where again the trust fund is taking that risk is all aimed at preventing migration. and i think that it is something that you might consider because i think it is a great concern to see those rates go, especially from $4 to 7.79 from a thousand 78 to 1500 and from 2000 to over 2300. ~ so, thank you very much and i hope that you consider subsidizing. >> thank you.
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>> president breslin? >> yes. >> i wanted to acknowledge the importance of that question and to also state that plan 1 has been a plan for hss since hss has existed in the '40s and we are dedicated to bringing an alternative model to the board that will save that plan and actually help turn it into a healthy plan again. so, that will be coming forward during the rates and benefits. actually in december so the board can give us direction on whether that is something to pursue for the rates and benefits. hello, my name is gail bloom and i'd like to talk about plan 1. i don't know if this is the right time. i have a problem with plan 1 and i'd be happy to hold the question till later in the agenda when it looks like you have open discussion about the different plans. >> up to you. well -- >> yeah, you can say something now about it.
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it's about plan 1. if you want to hear it now, i'd be happy to bring it up. >> maybe you could talk to the staff. i have talked to your staff. >> okay. and they told me to come to the commission meeting, to the board meeting. i'd be happy to hold the thought. okay, i'm here because i'm an early retiree in plan 1 and i'm actually not getting any of the service that i had contracted for, particularly for my out of network payments or out of network coverage. i have a -- i am covered by medicare. and what i understand is irrespective of the medicare coverage, for my out of network payments or coverage -- excuse me, i'm really nervous. it should be at the 50% of the ucl rates. is that correct? as i'm understanding it?
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yes, okay. what united is telling me now is they will only cover 50% of what a medicare physician would cover if i were seeing a medicare physician. but i am not seeing medicare physicians and, so, for example -- excuse me -- i see a doctor who charges $225 for a visit. so, rather than paying me 50% of $225, united is now paying me $37. which, if that continues, i can no longer see my physician and i would like to be -- change policies or out of the open enrollment period if i can no longer see my physician. and paying $1700 a month for the privilege of seeing an out of plan provider. so, i'm kind of stuck between a rock and a hard place and i was hoping that the commission or
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the board would be able to help me get to the bottom of this. and i have gotten a lot of correspondence from them that that's all that they'll pay. >> i'd like to have our manager of member services, mitchell gray. i'd like to have him work with you on that. i've got paper. >> okay, fine. >> thank you. [speaker not understood], retired and active firefighters. i'd like to basically piggyback on what claire said regarding these rates, but also add to the city leaving themselves open for discrimination suits. if i'm a single person and i have to pay any amount of money for my health care, i'm turning around and yi